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ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
ANNEX D_Pasig City Initiatives on MDG 5
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ANNEX D_Pasig City Initiatives on MDG 5

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    • 1. L GU Initiatives on Maternal Health C ity of PasigGEORGIANA S. GALUTERA,MD City Health Officer NILDA DEL ROSARIO,MD MCH Medical Coordinator
    • 2. INTRODUCTION Pasig City is one of the most fast developing cities in Metro Manila, however, with the different problems of this city like potential flooding, various reforms were made especially more on infrastructure focusing on the drainage system, education, health, roads and barangay projects.• Since the beginning of the City Mayor Robert C. Eusebio’s term, health was one of his priority projects. The City Mayor clustered barangay health centers into 4 clusters called “Super Health Center”. Each Super Health Center is equipped with ultrasound machines, ecg machines, complete dental equipments, nebulizers and defibrillation machines, including availability of generic and branded medicine including free flu vaccinations among all senior citizens.
    • 3. MISSION Towards Pasig City’s sustainabledevelopment through an efficient, pro-active progressive Primary Health CareDelivery System responsive to the needs ofPasigueños through the provision of highlyaccessible, cost efficient and effectivepreventive and managed health servicesenhanced by continuing professionaleducation, update with the current trendsand proficient technical training.
    • 4. VISION Pasig as a City of wellness anchoredon health service excellence of the PasigCity Health Office. Health for all Pasig Cityconstituents regardless of age, race, color,socio-economic status, religious and otheraffiliations.
    • 5. OBJECTIVE The Pasig City Health Office is an office with a health system ofprograms and services that upholds efficient and quality services. It has thecomponent of health promotion, disease control and prevention and healthcare provision. It also has the component of treatment and rehabilitation,primary home care and auxiliary services. These services includevaccinations, consultations, laboratory work-ups like; ultrasound andreflexology, sanitation, nutrition, family planning and maternal & childhealth. Our health program also includes education dissemination andadvocacy. We would like to be effective, efficient and empowered throughthe support of our local government, national government and otherservices-foreign funding. Our office has the role of the following:• Access to diagnostic test – ultrasound, x-ray, blood test and ECG and test for determination of infectious and non- infectious diseases.
    • 6. 2. Availability of drugs and medicines for both government and non-government organizations/people’s organization.3. Addressing the nutritional problem of our children through actual feeding programs especially among school children.4. Addressing our goal of providing primary health care through vaccination of infants and children, senior citizens, government employees and high risk patients. This is because we believe that prevention is better than cure.5. Expansion of coverage and benefits of Philhealth and our local system for provision of free hospitalization and services through our blue and white card.6. Strengthening health education and advocacy through our Kalusugan Patrol.
    • 7. 2.Implementation of computerization in health facilities for dataprocessing and development•Providing special medicines at 50% discount from drugstore prices through our Pharmacia ng Pasigueños which addressesdebilitating diseases like diabetes and coronary heart diseases andother degenerative and lifestyle diseases.•Improving and upgrading health facilities and health system.•Addresses core public health programs – safe motherhood, Family Planning & Child Care.11. Conducts regular blood program activities as life saving program for our patients needing blood.12. Compliments programs and the regulatory function as embodied in the Sanitation Code of the Philippines and our local sanitation ordinances and by-laws.
    • 8. NUTRITION PROGRAM:•Best in Barangay Nutrition Program Implementation given by theNational Nutrition Council (NNC) held at EDSA Shangrila on August18, 2011.•2ndrunner-up as Most Outstanding Barangay Nutrition Scholargiven To MS. Nilda Aguila, BNS of Napico given by NNC.CITY EPIDEMILOGY & SURVEILLANCE UNIT ( CESU )•Performance of Excellence awarded by Department of Health-Center for Health & Development (DOH-CHD,MM) to Pasig CESU fortheir exemplary performance and commitment to vaccinepreventable diseases held at the Sunrise Mansion Holiday in CaviteCity on December 3, 2011.SMOKING CESSATION PROGRAM•Pink Orchid Award for having garnered a total score within therange of 65-84% based on the DOH’s criteria & following theWHO’s “MPOWER” Framework given on May 31, 2011 at CrownePlaza Galleria Manila Ortigas Avenue, Pasig City.
    • 9. PROFILE OF PASIG1.One of the seventeen (17) towns and cities comprising Metropolitan Manila and used to be thecapital of the then premier Province of Rizal before the creation of Metropolitan governance inNovember 7, 1975 under Presidential Decree # 824.2.A highly urbanized city through Republic Act 7829, An Act. converting the Municipality of Pasig intoa Highly Urbanized City passed by Congress on July 26, 1993 signed into Law by the President of the Philippines on December 8, 1993 ratified through a plebiscite on January 21, 1994.3.A city with a land area of 31 sq. km., the 10th largest among Metro Manila towns and cities.4.The 4th biggest city in the National Capital Region in terms of population.5.Ranks 4th among the highest income earning cities of Metro Manila.6.Previously an industrial city transforming into a business, financial and trade canter.7.The seat of unified Philippine Stock Exchange.
    • 10. City of PASIG Location : Geographically, Pasig lies approximately 12 kms. East of Manila sprawled along the banks of Marikina and Pasig Rivers, on the southeastern end of the Pasig River, bounded by: North : Quezon City and Marikina City West : Mandaluyong City South : Makati City, Pateros and Tagig East : Cainta and Taytay (Province of Rizal)
    • 11. ECONOMIC CHARACTERISTICS From an industrial town during the period it served as the capital RizalProvince in the sixties and seventies, Pasig has evolved into one of the highlyurbanized cities of the country attaining cityhood in 1994. It has maintained its4th ranking position among Metro Manila cities in the terms of income for severalyears and again this year earning total revenues of Php 4.2B in 2008 from Php184M in 1991 before the passage of the Local Government Code. Pasig’s income is mostly derived from Services sector which accounted for96.55% of the 22,000 business establishments all over the city, mostly in banksand other financial lending institutions, big and small scale wholesalers,restaurants, fast food chains supermarkets and shopping malls. Trade, financialtransactions and other commercial activities abound and are expanding whileagriculture, fishery and forestry are practically non-existent. Much of the landsthat existed in the 60’s and 70’s had been developed into residential subdivisionsand influence by the industry dispersal policy of the government, a number oflarge industries have relocated outside Metro Manila. At present Pasig has a totalof 771 small, medium and large industries. The seat of business and commerce is the Ortigas Business Centerapproximately 50 hectares high intensity commercial development located at thewestern side of Pasig. The site of the United Philippine Stock Exchange, Meralcobuilding and The New Medical City , the Ortigas Center is host to about 90 highrise condominiums housing different offices, banks, hotels, restaurants,residences and shopping stalls.
    • 12. Facility No.Health Centers District 1 22 District 2 16 Super Health Centers 4Public Health Laboratory 1Social Hygiene Clinic 1Drug Abuse Clinic 1Animal Bite Clinic 1Smoking Cessation Clinic 1Lying-In Clinic 0Healthy Lifestyle Clinic 1LGU Hospital PhilHealth Accred. 1DOH Retained Hospital PhilHealth Accred. 1
    • 13. NAME OF PUBLIC LOCATION NO. OF BEDSHOSPITALS1. Pasig City General F. Legaspi St. 200Hospital Maybunga2. Rizal Medical Center Shaw Blvd., Pineda 300NAME OF PRIVATE HOSPITAL LOCATION NO.OF BEDS1. Javillonar laboratory & Sagad, Pasig City Hospital2. Mary Immaculate Hospital E.Rodriguez Ave.,Bagong Ilog 253. Mission Hospital E.Rodriguez Ave.,Bagong Ilog 304.Mother Regina Hospital #2 Ruby St. Dona Juana Subd. 2 #101 London St Pasig 6 Greenpark Village Manggahan
    • 14. NAME OF PRIVATE LOCATION NO.OF BEDS HOSPITAL6.Pasig Medical & MaternalHospital & Foundation7. Rosario Specialist RosarioHospital8. Sabater General Market Ave. Sto.Tomas 15Hospital9. Salve Regina General Marcos Highway, Dela 50Hospital Paz10. St. Therese Hospital C. Raymundo Ave., 25 Maybunga11. The Medical City
    • 15. LIST OF SUPER HEALTH CENTERS NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF HOUSEHOLD Bagong Ilog PC 7,944 1,589Bagong Lipunan 11,190 2,238Bambang 19,798 3,960Buting 9,327 1,866Dela Paz 13,413 2,683Kalawaan 14,460 2,892Manggahan 14,093 2,819Maybunga HC 14,650 2,930Oranbo 4,518 904Palatiw PC 17,404 3,481Kapasigan HC 6,753 1,351Sta. Rosa 1,557 312Pinagbuhatan HC 21,678 4,336Pineda 15,434 3,807Rosario HC 26,056 5,212Rosario PC 26,056 5.212Sagad 11,993 1,416
    • 16. NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF HOUSEHOLDSan Antonio 11,993 2,399San Joaquin HC 12,848 2,570San Miguel HC 15,456 3,092San Nicolas 1,585 317Santolan HC 35,600 7,120Sta. Lucia HC 20,845 4,169Sto.Tomas 6,554 1,311Sumilang HC 5,543 1,109Ugong HC 22,890 4,578Caniogan PC 11,189 2,238Bagong Ilog HC 7,943 1,589Dona Betang 8,900 1,780Malinao 6,124 1,225Kapitolyo 10,744 2,149San Jose 2,413 483Karangalan HC 21,138 4,228Katipunan HC 1,218 244Napico 41,095 8,219
    • 17. NAME OF HEALTH CENTER ESTIMATED PDP ESTIMATED NO. OF HOUSEHOLDPinagbuhatan 21,678 4,336Sta. Cruz 4,489 898Floodway 21,976 4,396Ismar 9,639 1,928Sta. Lucia Mini 20,845 4,169Nagpayong 48,777 9,756E.Santos 16,529 3,252
    • 18. LIST OF SUPER HEALTH CENTERSNAME LOCATIONDistrict I 1. Sumilang Super Health Center Dr. Garcia St., SumilangDistrict II 1. Nagpayong Super Health Centennial 2, Nagpayong,Center Pinagbuhatan 2. Rosario Super Health Center 3. Santolan Super Health CenterLIST OF PUERICULTURE CENTERSName of Puericulture Center Location1. Bagong Ilog Pook Maligaya,Bagong-Ilog District2.Pinagbuhatan M.H. Del Pilar Street II I
    • 19. Health Office Category Permanent Casual Center Total Based Based RHP 39 2 36 5 41 Nurses 33 40 25 48 73 Midwives 72 8 64 16 80 Dentists 25 10 34 1 35 Med Techs 7 17 7 10 24 RSI 19 1 11 8 20Nutritionists 6 4 8 2 10Pathologists 1 0 0 1 1Radiologists 2 0 0 2 2
    • 20. Total Population 2012: 602,800 Personnel Pasig City DOH Standard Doctors 1:16,744 1:20,000 Nurses 1:24,112 1:10,000 Midwives 1:9,418 1:5,000 Dentists 1:17,729 1:20,000Med Techs 1:86,114 1:50,000 RSI 1:54,800 1:20,000Nutritionists 1:75,300 1:50,000 BNS 1:17,729 1:5,000
    • 21. INDICES 2006 2007 2008 Cases Rate Cases Rate Cases RateCRUDE BIRTH 7,937 14.42 7,991 14.33 4,855 7.65RATECrude Death 2,837 5.15 2,652 4.75 2,846 4.48RateInfant Mortality 179 22.55 144 18.0 184 37.90RateMaternal 10 1.26 12 1.5 42 0.44Mortality RateChild Mortality 230 2.78 38 0.45 18 3.71Rate INDICES 2009 2010 2011 Cases Rate Cases Rate Cases Rate CRUDE BIRTH 5,503 9.46 11,639 19.76 8,141 13.45 RATE Crude Death 3,114 5.36 2,945 500.01 2,807 4.64 Rate Infant Mortality 183 33.25 134 11.51 184 22.60 Rate Maternal 12 2.18 31 2.66 15 1.84 Mortality Rate Child Mortality 67 0.77 57 0.64 45 0.50 Rate
    • 22. 2006 2007 2008 NATALITY No. of Rate No. of No. of Cases Rate Case Cases Rate1.Total Number of Livebirths 7,937 = 7,991 = 4,855 = Male 4,102 = 516.8 4,092 = 512.07 2,530 = 3.99 Female 3,835 = 483.2 3,899 = 487.92 2,325 = 3.662.Livebirths by Weight < 2,500grams 772 = 97.3 7,493 = 937.67 4,604 = 7.25 > 2,500grams 7,131 = 898.4 456 = 57.06 247 =0.39 Unknown 34 = 4.3 42 = 5.25 4 =0.013.Livebirth by Medical Attendance Doctors 3,372 = 424.8 3,387 = 423.85 1,971 = 405.97 Nurses 12 = 1.5 3 =0.3754 6 =1.24 Midwife 3,719 = 468.5 3,797 =475.15 2,225 = 458.29 Trained Hilots 490 = 61.7 369 =46.176 233 = 47.99 Untrained Hilots • = 40.3 423 =52.934 418 = 86.10 Others 24 = 3.0 3 =0.3754 1 = .21 Unknown 1 = .214.Livebirths by Place of Delivery Homes 3,491 = 424.8 3,556 = 445.0 2,231 = 459.53 Lyingn- In 189 =23.65 Gov’t.Hospital 2,597 = 1.5 2,491 =311.72 1,517 = 312.46 Private Hospital / Clinic 1,815 = 228.6 1,638 =204.98 1,104 = 227.39 Others 34 = 4.28 108 =13.51 3 = 0.625.Numbers of Maternal Deaths 10 = 1.26 12 = 1.50 18 = 3.716.Number of Infant Deaths< 1yr.old 179 = 22.55 184 = 37.90 184 = 37.907.Number of Still Birth (late fetal) 33 = 4.16 31 = 3.89 35 = 7.0
    • 23. 2009 POPULATION: 2011 POPULATION: 605,473 LCR DATA : 581,395 Total Live Births : 15,851 Total Live Births : 15,564 Rate: 26.18 2009 Rate: 26.77 2010 2011 NATALITY No. of No. of No. of Cases Rate Cases Rate Cases Rate1.Total Number of Livebirths 5,503 11,639 8,141 Male 2,867 = 520.99 6,090 = 523.24 4,165 = 511.61 Female 2,636 = 479.01 5,549 = 476.76 3,976 = 488.392.Livebirths by Weight < 2,500grams 5,201 = 945.12 10,873 = 934.19 7,588 = 932.07 > 2,500grams 284 = 51.61 753 = 64.69 547 = 67.19 Unknown 18 = 3.27 13 = 1.12 6 = 0.743.Livebirth by Medical Attendance Doctors 2,563 = 465.74 7,674 = 659.33 4,902 = 602.14 Nurses 4 = 0.73 52 = 4.47 • = 1.60 Midwife 2,431 = 441.76 3,288 = 282.50 2,693 = 330.79 Hilots 239 = 43.43 352 = 30.24 283 = 34.76 Others 266 = 48.34 273 = 23.46 • = 30.22 4 = 0.494.Livebirths by Place of Delivery Homes 2,647 = 3,429 = 294.61 2,403 = 295.17 Hospital 481.01 7,516 = 645.76 4,687 = 575.73 Others 2,304 = 694 = 59.63 1,051 = 129.10 418.68 552 = 100.315.Numbers of Maternal Deaths 12 = 2.18 31 = 2.66 15 = 1.846.Number of Infant Deaths< 183 = 33.25 134 = 11.51 184 = 22.601yr.old
    • 24. National Baseline: 33% in 2006National Target: 70% by 2010
    • 25. National baseline: 54% in 2006National target: 70% by 2010
    • 26. MDG Goal: 52/100,000 Live Births
    • 27. National Baseline: 39% in 2006National Target: 70% by 2010
    • 28. Int. National Ext. Baseline Pasig Pasig BenchIndicator Target Bench 2006 2009 2010 mark 2010 markPrenatal 80 80 64.6% 60.82% TT2Immuniza 80 80 45% 48% tionGiven Iron with FA 80 80 44.3% 69.97% Post partum 80 80 61% 63% FBD 33% 70% 51.9% 70.54 SBA 54% 70% 90.8 94.63 CPR 39% 85% 15.54 7.79
    • 29. National Int. Ext. Baseline Pasig PasigIndicator Target Bench Bench 2006 2009 2010 2010 mark mark IMR 25 17 33.25% 11.51% UFMR 34 32 0.77% 0.64% MMR 162 90 220 266
    • 30. National Int. Ext. Baseline Pasig PasigIndicator Target Bench Bench 2006 2009 2010 2010 mark mark Average Hospital Gross DeathRate from 1% 1% 1.5% 2.1%Maternal causesBEMOC toPop ratio 1:511,767 1:125,000 0% 0%
    • 31. S U M I L A N G S U P E R C E ULTRASOUND N T EFREE ULTRASOUND FREE ECG R
    • 32. S U M I L A N G S U P E R C E N TBREAST FEEDING DENTAL E RCORNER SERVICES
    • 33. SANTOLANSUPERCENTER
    • 34. SANTOLANSUPERCENTER
    • 35. SANTOLANSUPERCENTER
    • 36. NAGPAYONGSUPERCENTER
    • 37. NAGPAYONG SUPERCENTER
    • 38. ROSARIOSUPERCENTER
    • 39. NAGPAYONGSUPERCENTER
    • 40. KALUSUGAN PATROL promotingSAFE MOTHERHOOD in the community
    • 41. Regulation of Private Lying In Clinics
    • 42. Meeting with Private Lying In Owners regarding facility regulation, PhilHealth Accreditation, Incentive system to TBAs
    • 43. Dialogue with TBAs (Traditional BirthAttendant) on Maternal Health updatesand DOH policies their role in trackingdown and properly referring pregnantwomen
    • 44. Conduct of Gandang Buntis, SimultaneousBreastfeeding and Buntis Exercise
    • 45. Issuance of Revised Mother and Baby BookletsSafe Motherhood Flipcharts
    • 46.  Conduct of regular program implementation review Maternal death monitoring and review Partnerships with CEmONC facility Strengthening blood donation activities
    • 47.  Facility enhancement/ upgrading of HC equipment Capability building of public health midwives (Basic Emergency Obstetric and Newborn Care / NBS) Deployment of Community Health Teams to 4Ps areas to identify unmet needs and facilitate health plans and referrals
    • 48. • Provision of Free Hepatitis B Immunoglobulins to newborns of Hepa B (+) mothers• Provision of initial doses of Methyldopa for hypertensive cases• Intensify activities for adolescent health• Monitoring and intervention of teen pregnancies• Improve access to and utilization of modern Family Planning Methods• Strengthen Public Private partnership (PPMs)
    • 49.  Conduct special activities for pregnant mothers PhilHealth accreditation of several health centers PhilHealth sponsorship of indigent families ( quintile 2)
    • 50.  Creation of a City Ordinance regulating all birthing facilities to ensure quality service delivery Involvement of Barangay Officials and other sectors in promoting safe motherhood and facility delivery
    • 51. ANNUAL OPERATIONAL PLAN FOR 2012
    • 52. 1. Promotion of Women’s Health Team a. Advocacy of proper birth spacing. b. At least 4 pre-natal visits c. Basic oral health services2. Setting up of a BEMONC/CMONC facility3. Contraceptive prevalence rate program a. Information and access to natural and modern family planning. b. Contraceptive Self Reliance 1. Conduct Responsible Parenthood 2. Provision of FP commodities and services. 3. CSR Plan 4. Strengthen Private/Public Partnership a. Training of private midwife b. Establish/strengthen referral system ( annual meetings with MD ) c. Institutionalization of MNCHN
    • 53. 1. Provide optimum pre-natal care. a. Reproduction of Mother and baby Booklet b. Patient’s record/chart c. Pregnancy test Kit d. BH s Ag screening e. Provision of Methyldopa 250 mg tablet f. Immuno globulins for newborns of Hepa B positive mother g. Purchase of fetal Doppler monitor h. Tetanus toxoid2. Promotion of safe motherhood a. Conduct Buntis Bingob. Conduct of bench classes/group discussion promoting safe motherhoodc. Provide oral contracptive pills for lactating mothers
    • 54. 3. MCH Program Implementation a. Semi annual program review b. For documentation of MCH Activities c. Consolidation and submission of reports for MCH4. Establishment of a BEMONC facility5. Capability building a. Proper technique on visual inspection using acetic acid technique.b. NEMONC/CEMONC Training of Health Personnelc. Training of CHTsd. Training of Private Midwife on Maternal and Child Healthe. Training of Basic Family Planning for new health personnelf. Family Planning Updates6. Promote Adolescent Reproductive Health a. Create youth health teams b. Conduct youth health symposia c. Monitoring of Teenage pregnancies
    • 55. 7. Pre-marriage counseling8. Conduct of FDS classes to the community.9. Conduct of FDS classes to 4P’s members.10. Advocacy meeting with Private lying in clinic11. Mid year annual PIR12. Conduct Blood Donations.
    • 56. THANK YOUFOR LISTEN ING

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